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临床试验/KCT0003387
KCT0003387招募中未知

An open-label, randomized, controlled, multicenter study comparing two treatment strategies of Edoxaban alone and Edoxaban with antiplatelet agent in patients with atrial fibrillation and chronic stable coronary artery disease

Asan Medical Center0 个研究点目标入组 1,000 人开始时间: 待定最近更新:

试验速览

阶段
未知
状态
招募中
入组人数
1,000

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional Study

入排标准

年龄范围
19(Year) 至 o Limit(—)
性别
All

入选标准

  • 1.Subject was = 19 years of age
  • 2.Patients with nonvalvular AF with high embolic risk (CHA2DS2-VASc score =2,VASc=vascular disease (peripheral arterial disease, previous MI, aortic atheroma))
  • 3.Patients with Stable Coronary artery disease
  • ?coronary angiography (CAG) or Coronary computed tomography angiography (CCTA) confirmed Coronary artery disease (=50 % stenosis of major coronary artery) on medical treatment
  • ?Revascularized Coronary artery disease (either percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG)) whom the last revascularization should be performed =12 months before study enrollment for acute coronary syndrome and =6 months for stable angina pectoris.

排除标准

  • 1.Patients with thrombocytopenia (platelet count <100,000/ul)
  • 2.High risk of bleeding which prohibits the anticoagulant use. (baseline comorbidities, hyper or hypercoagulable state, increased prothrombin time or activated partial thromboplastin time)
  • 3.Prior history of intracranial haemorrhage or haemorrhage on Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) imaging test
  • 4.Mechanical prosthetic valve or moderate to severe mitral stenosis
  • 5.The risk of bleeding increased due to the following reasons;
  • i. history of gastrointestinal ulcers within 1 month
  • ii. Malignant tumor with high risk of bleeding
  • iii. Brain or spinal cord injury within 1 month
  • iv. History of intracranial or intracerebral hemorrhage within 12 months
  • v. Esophageal varices
  • vi. Arteriovenous malformation
  • vii. Vascular aneurysms
  • viii. Spinal cord vascular abnormalities or intracerebral vascular abnormalities
  • ix. Active bleeding
  • x. Hemoglobin level <7.0 g/dL or platelet count = 50,000 / mm3
  • xi. History of major surgery within 1 month
  • 6. Patients who contraindicated for edoxaban
  • 7. Uncontrolled severe hypertension
  • 8. Hemodynamically Unstable or pulmonary embolism requiring thrombolysis or pulmonary embolectomy
  • 9.History of hypersensitivity to Edoxaban or clopidogrel
  • 10.Genetic problem with galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • 11.Planned Percutaneous Coronary Intervention or coronary bypass surgery was planned within 1 year after randomization
  • 12.Liver cirrhosis or liver dysfunction (AST or ALT > x3 of normal range or coagulation abnormality)
  • 13.Estimated CrCl by Cockcroft-Gault equation<15 mL/min
  • 14.Life expectancy less than 12 months
  • 15.The subject was unable to provide written informed consent or participate in long-term follow-up
  • 16.Pregnant and/or lactating women
  • 17.Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period

研究者

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